Explore the critical, often-overlooked role of early gynecologic care in pediatric patients born with anorectal malformations (ARMs). This episode delves into the timing and recommended methods of prepubertal screening, the clinical evaluation of Müllerian anatomy, and how providers balance surgical intervention with the preservation of future fertility and patient autonomy. Learn how multidisciplinary coordination and proactive family counseling can help navigate early childhood care, prepare patients for the physical changes of puberty, and protect their long-term reproductive futures.